Individual provider · Type 1 NPI
Stacey Lynn Clark, RN
Case Management Registered Nurse · Bedford, PA
NPI number
1235624602
Active
Practice location
9709 Lincoln Hwy
Bedford, PA 15522
Mailing address
209 W John St
Bedford, PA 15522-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | RN696926 (PA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1235624602
Stacey Lynn Clark, RN's National Provider Identifier is 1235624602, issued on Jun 27, 2018. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Bedford, PA. The record was last updated on Jul 19, 2018.